| NPI | 1952557456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 79793) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YM0800X Counselor, Mental Health (Licence: LA 3288) | |
| 106H00000X Marriage & Family Therapist (Licence: LA 1056) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2022-02-23 |